Organization Name: | AMORY URGENT CARE, LLC |
NPI Number: | 1447691548 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENNAN DRISCOLL UTER (CEO/OWNER) |
Mailing Address: | 906 Highway 278 E Amory |
State: | MS US |
Postal Code: | 388215511 |
Phone Number: | 2257063033 |
Fax Number: | 2252184888 |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |